Providers
All 19 in TX
AVATAR HOME HEALTH CARE AGENCY, LLC
NPI 1710937677, organization, The Woodlands, TX, Home Health
3
Evidence tier
network structure with a list link
- Part of provider network D1-00036, ranked 36 nationally.
- 86% of Medicaid dollars are on codes with a history of abuse.
score 68 of 100, rank 863, $779K at stake
Provider networks
D1-00036 ranked 36146 providers around Houston, TX: 89 hospices, 56 home health agencies, 1 nursing facility.
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | AVATAR HOME HEALTH CARE AGENCY, LLC |
| Type | Organization |
| Status | Active |
| NPI issued | May 11, 2006, last updated October 12, 2023 |
| Practice location | 25325 BOROUGH PARK DRIVE, SUITE #100, The Woodlands, TX 77380, 281-465-8220 |
| Authorized official | FELIX CANABAL (Alt. Administrator) |
| Specialties | Hospice Care, Community Based (251G00000X) Home Health (251E00000X, primary, license 010674 TX) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| S5125 | Attendant care services per 15 minhistory of abuse | $18K | 86% | $348 | $2K (top 5% from $5K) | too few months to rank | |
| G0299 | Direct skilled nursing by RN in home health or hospice each 15 min | $3K | 14% | $50 | $151 (top 5% from $742) | too few months to rank | |
| Q5001 | Medicaid service code | $0 | 0% | $0.00 | $0.00 (top 5% from $3K) | 0th percentile | |
| G0300 | Direct skilled nursing by LPN in home health or hospice each 15 min | $0 | 0% | $0.00 | $133 (top 5% from $1K) | too few months to rank |
In this area
19 providers in Montgomery County, TX carry an indicator in the public record, with $6.7M at stake between them. The most common is part of a provider network, on 13 of them, followed by more hours than a day holds on 4.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | BENCHMARK HOME HEALTH, LLC Montgomery, TX, ranked 2264 | $0 |
|
| 3 | AVATAR HOME HEALTH CARE AGENCY, LLC The Woodlands, TX, ranked 2289 | $0 |
|
| 3 | ACCURATE HOSPICE I LLC Spring, TX, ranked 2468 | $0 |
|
| 3 | RELIANT HOSPICE OF HOUSTON LLC The Woodlands, TX, ranked 2965 | $0 |
|
| 3 | MEMORIAL HOSPICE SERVICES LLC Spring, TX, ranked 3214 | $0 |
|
| 3 | MILLENNIUM HOSPICE AGENCY, LLC Spring, TX, ranked 3293 | $0 |
|
| 3 | PROVIDENCE HOMECARE SERVICES, LLC Conroe, TX, ranked 4141 | $0 |
|
| 3 | BENCHMARK HOSPICE, LLC Montgomery, TX, ranked 4341 | $0 |
|
Recent enforcement in TX
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementAug 26, 2026
Dallas medical clinic to pay $7.5 million to resolve COVID-19 testing overbilling allegations
Aymancare billed the federal government's HRSA Uninsured Program for separate evaluation and management services in addition to COVID-19 specimen collection and testing at pop-up testing sites when no such separate services were performed.
DOJConvictedAug 12, 2026
Scammer pharmacist guilty in $20 million healthcare kickback scheme
Thomas paid over $2 million in kickbacks to the owner of a Houston clinic in exchange for referrals of DOL-OWCP insured patients prescribed high-reimbursement compounded medications, which his pharmacy then billed to DOL-OWCP, receiving more than $20 million in reimbursements.
DOJIndictedJun 24, 2026
U.S. Attorney Announces Major Health Care Fraud Cases in Western District of Texas
Charles is alleged to have received illegal kickbacks for referring patients to San Antonio area hospice companies, causing over $9 million in Medicare claims, while Dr. Duncan settled allegations of billing Medicare and TRICARE for an unapproved amniotic-based product and Trevor's Place settled allegations of submitting inflated TRICARE claims for services not provided.
DOJIndictedJun 23, 2026
Nine charged in SDTX as part of national health care fraud takedown
Nine defendants were indicted in the Southern District of Texas for operating pill mill clinics and a pharmacy that unlawfully distributed controlled substances, billing Medicaid $16 million for mental health services for minors that did not occur, and billing Medicare and TRICARE approximately $906 million for medically unnecessary amniotic wound allografts procured through kickbacks.
DOJChargedJun 23, 2026
Northern District of Texas Charges 13 Health Care Fraudsters for Loss Over $360 Million
Thirteen defendants in the Northern District of Texas were charged in seven cases involving more than $365 million in fraudulent billing to federally-funded programs and other insurers, including laboratory and genetic testing claims procured through kickbacks, transcranial magnetic stimulation treatments billed to TRICARE, medically unnecessary EEG testing, and hospice services never provided.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.